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Delaware rates for HCPCS E2612

General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $245.47
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $162.18 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $263.03 / $389.05